510(k) Report

510(k) · Cleared

Cleared

GMK 3D Metal Tibial Tray

K221850510(k) TraditionalCleared Aug 23, 202257-day reviewClass II21 CFR 888.3565

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Medacta International S.A. · MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer

Cleared on Aug 23, 2022 as substantially equivalent to K123486 (Stryker, 2013) and 4 other predicates after a 57-day review. Its family tree reaches back 17 generations to 1994. 1 later device descends from it.

Decided
Aug 23, 2022
Review
57 days
Class
Class II
Product code
MBH
Recalls
None
Predicates
5

Its longest line of descent runs back 17 generations to K941847 (1994). 254 ancestors in all, the oldest K810258 (1981). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2021: 1 other ancestor2013: 5 other ancestors2019: 1 other ancestor2018: 2 other ancestors2017: 2 other ancestors2007: 16 other ancestors2005: 16 other ancestors2002: 15 other ancestors1999: 6 other ancestors1998: 9 other ancestors1997: 11 other ancestors2015: 2 other ancestors2014: 2 other ancestors2012: 5 other ancestors2009: 3 other ancestors2008: 7 other ancestors2006: 11 other ancestors2004: 15 other ancestors2003: 17 other ancestors2001: 13 other ancestors2000: 10 other ancestors1996: 13 other ancestors1995: 13 other ancestors2010: 6 other ancestors1993: 5 other ancestors1991: 4 other ancestors1990: 2 other ancestors2011: 1 other ancestor1994: 11 other ancestors1992: 6 other ancestors1988: 1 other ancestor1987: 2 other ancestors1984: 1 other ancestor1985: 1 other ancestor1981: 1 other ancestor2026: 1 descendant clearedReference device: K202568 · Mpact® 3D Metal Implants - DMLS Technology · Medacta International S.A. · 2021K941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994K964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK090988 · GMK Total Knee System · Medacta International S.A. · 2009 · recalledK102437 · GMK Revision Knee System · Medacta International S.A. · 2010K103170 · GMK Revision Knee SC Liners · Medacta International S.A. · 2011×2: 2 generations cleared close together, K113571 (2012), K121416 (2012) K140826 · GMK Sphere Extension · Medacta International · 2014K162035 · GMK Sphere · Medacta International S.A. · 2017K173890 · GMK Sphere - Kinematic Alignment · Medacta International S.A. · 2018K201343 · Triathlon Total KneeSystem · Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 202019801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 12 other ancestors3 generations back: 43 other ancestors4 generations back: 30 other ancestors5 generations back: 47 other ancestors6 generations back: 52 other ancestors7 generations back: 30 other ancestors8 generations back: 17 other ancestors9 generations back: 3 other ancestors 1 generation forward: 1 descendant K201343 · Triathlon Total KneeSystem · Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020K173890 · GMK Sphere - Kinematic Alignment · Medacta International S.A. · 2018K162035 · GMK Sphere · Medacta International S.A. · 2017K140826 · GMK Sphere Extension · Medacta International · 2014K121416 · GMK Sphere · Medacta International · 2012K113571 · GMK Resufacing Patella Size 4 · Medacta International · 2012K103170 · GMK Revision Knee SC Liners · Medacta International S.A. · 2011K102437 · GMK Revision Knee System · Medacta International S.A. · 2010K090988 · GMK Total Knee System · Medacta International S.A. · 2009 · recalledK081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994−15−10−50
  1. Root · 17 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 13 generations between
  3. 3 generations backK162035 GMK SphereMedacta International S.A. · 2017
  4. 2 generations backK173890 GMK Sphere - Kinematic AlignmentMedacta International S.A. · 2018
  5. 1 generation backK201343 Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020
  6. This deviceK221850 GMK 3D Metal Tibial TrayMedacta International S.A. · 2022
  7. Descendant · cites it directly · 0 of its ownK253328 GMK 3D Metal Tibial Tray ExtensionMedacta International S.A. · 2026
Show all 17 generations
  1. Root · 17 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 16 generations backK964650 TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc. · 1997
  3. 15 generations backK980711 Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic…Zimmer, Inc. · 1998 · Recalled
  4. 14 generations backK001277 Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc. · 2000
  5. 13 generations backK031495 Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc. · 2003
  6. 12 generations backK042344 Excia Total Hip SystemAesculap, Inc. · 2005 · Recalled
  7. 11 generations backK070981 Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc. · 2007
  8. 10 generations backK081023 Evolis Total Knee SystemMedacta International S.A. · 2008 · Recalled
  9. 9 generations backK090988 GMK Total Knee SystemMedacta International S.A. · 2009 · Recalled
  10. 8 generations backK102437 GMK Revision Knee SystemMedacta International S.A. · 2010
  11. 7 generations backK103170 GMK Revision Knee SC LinersMedacta International S.A. · 2011
  12. 6 generations backK113571 GMK Resufacing Patella Size 4Medacta International · 2012
  13. 5 generations backK121416 GMK SphereMedacta International · 2012
  14. 4 generations backK140826 GMK Sphere ExtensionMedacta International · 2014
  15. 3 generations backK162035 GMK SphereMedacta International S.A. · 2017
  16. 2 generations backK173890 GMK Sphere - Kinematic AlignmentMedacta International S.A. · 2018
  17. 1 generation backK201343 Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020
  18. This deviceK221850 GMK 3D Metal Tibial TrayMedacta International S.A. · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K253328GMK 3D Metal Tibial Tray ExtensionMedacta International S.A. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K9418475/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc.1994—
−16K964650TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc.1997—
−15K980711Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic CoatingZimmer, Inc.19981
−14K001277Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc.2000—
−13K031495Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc.2003—
−12K042344Excia Total Hip SystemAesculap, Inc.200510
−11K070981Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc.2007—
−10K081023Evolis Total Knee SystemMedacta International S.A.20081
−9K090988GMK Total Knee SystemMedacta International S.A.20091
−8K102437GMK Revision Knee SystemMedacta International S.A.2010—
−7K103170GMK Revision Knee SC LinersMedacta International S.A.2011—
−6K113571GMK Resufacing Patella Size 4Medacta International2012—
−5K121416GMK SphereMedacta International2012—
−4K140826GMK Sphere ExtensionMedacta International2014—
−3K162035GMK SphereMedacta International S.A.2017—
−2K173890GMK Sphere - Kinematic AlignmentMedacta International S.A.2018—
−1K201343Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics2020—
0 (this device)K221850GMK 3D Metal Tibial TrayMedacta International S.A.2022—
+1K253328GMK 3D Metal Tibial Tray ExtensionMedacta International S.A.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198410
198510
198720
198810
199020
199140
199260
199350
1994110
1995130
1996130
1997110
199890
199960
2000100
2001130
2002150
2003170
2004150
2005160
2006110
2007160
200870
200930
201060
201110
201250
201350
201420
201520
201720
201820
201910
202110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K221850, 1994–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in MBH? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new MBH device

  1. #1 K241597 Freedom® Total Knee System - Porous Tibial…score 19.9 · 8 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (5)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K123486Triathlon Tritanium Tibial Baseplate
Summary page 5
…II III. Predicate Device Substantial equivalence is claimed to the following devices: Primary predicate device: ¾ Triathlon Tritanium Tibia Baseplate, Stryker, K123486 Additional predicate devices: ¾ GMK Total Knee System, K090988, Medacta International SA ¾ GMK Sphere, K121416, Medacta In…
Stryker20137
*K090988GMK Total Knee System
Summary page 5
…o the following devices: Primary predicate device: ¾ Triathlon Tritanium Tibia Baseplate, Stryker, K123486 Additional predicate devices: ¾ GMK Total Knee System, K090988, Medacta International SA ¾ GMK Sphere, K121416, Medacta International SA ¾ GMK Spherika Femurs and Fixed Tibial Trays Plus…
Medacta International S.A.20091
*K121416GMK Sphere
Summary page 5
…¾ Triathlon Tritanium Tibia Baseplate, Stryker, K123486 Additional predicate devices: ¾ GMK Total Knee System, K090988, Medacta International SA ¾ GMK Sphere, K121416, Medacta International SA ¾ GMK Spherika Femurs and Fixed Tibial Trays Plus, K211004, Medacta International SA ¾ Triathlon…
Medacta International2012—
*K211004GMK Spherika Femurs and Fixed Tibial Trays Plus
Summary page 5
…s: ¾ GMK Total Knee System, K090988, Medacta International SA ¾ GMK Sphere, K121416, Medacta International SA ¾ GMK Spherika Femurs and Fixed Tibial Trays Plus, K211004, Medacta International SA ¾ Triathlon Total Knee System, K201343, Howmedica Osteonics Corp. dba Stryker Orthopaedics Referenc…
Medacta International S.A.2021—
*K201343Triathlon Total KneeSystem
Summary page 5
…¾ GMK Sphere, K121416, Medacta International SA ¾ GMK Spherika Femurs and Fixed Tibial Trays Plus, K211004, Medacta International SA ¾ Triathlon Total Knee System, K201343, Howmedica Osteonics Corp. dba Stryker Orthopaedics Reference device: ¾ Mpact 3D Metal - DMLS, K202568, Medacta International…
Howmedica Osteonics Corp., Dba Stryker Orthopaedics2020—
†K202568Mpact® 3D Metal Implants - DMLS TechnologyMedacta International S.A.2021—

Also cleared against K123486: 8 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K253328GMK 3D Metal Tibial Tray ExtensionMedacta International S.A.20260

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 28 years and passes through 8 companies; a new generation was cleared every 1.6 years on median.
  • 108 of the 253 ancestors have a recall of any class.
  • Of its descendants, K253328 (Medacta International S.A., 2026) has gone furthest, with 0 descendants of its own.
  • 8 other devices also cite its predicate K123486.

How does its category compare?

All MBH devices

MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · MBH

8in 2025

2007: 102008: 32009: 32010: 42011: 52012: 52013: 62014: 92015: 82016: 42017: 42018: 62019: 12020: 72021: 62022: 72023: 62024: 102025: 82026 (partial year): 7
2007high 10 (2007) · low 1 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MBH

98in 2025

2007: 59 days median2008: 70 days median2009: 209 days median2010: 84 days median2011: 84 days median2012: 90 days median2013: 138 days median2014: 114 days median2015: 100 days median2016: 74 days median2017: 115 days median2018: 89 days median2020: 112 days median2021: 48 days median2022: 57 days median2023: 94 days median2024: 84 days median2025: 98 days median2026 (partial year): 153 days median
2007high 209 (2009) · low 48 (2021)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MBH

1in 2024

2009: 22011: 152012: 1, 1 Class I2013: 4, 4 Class I2016: 12017: 92018: 12019: 12020: 22023: 22024: 12026 (partial year): 4
2007high 15 (2011) · low 0 (2007)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · MBH

1,561in 2025

2007: 272008: 212009: 892010: 1212011: 2472012: 3702013: 3082014: 3852015: 9552016: 1,0342017: 1,0072018: 1,1912019: 1,3942020: 1,0892021: 1,5392022: 1,2612023: 1,2632024: 1,4972025: 1,561
2007high 1,561 (2025) · low 21 (2008)2025

MAUDE reports naming product code MBH, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20071059027
2008370021
20093209289
20104840121
201158415247
20125901 (1)370
201361384 (4)308
201491140385
201581000955
201647411,034
2017411591,007
201868911,191
20191—11,394
2020711221,089
202164801,539
202275701,261
202369421,263
2024108411,497
202589801,561
202671534—

What is it indicated for?

The GMK® knee prosthesis is designed for cemented application in total knee arthroplasty, if there is evidence of sufficient sound bone to seat and support the components. The GMK 3D Metal® Tibial Baseplate is indicated for cementless or cemented application if there is evidence of sufficient sound bone to seat and support the components. This knee replacement system is indicated in the following cases: • Severely painful and/or disabled joint as a…

Read the full statement (258 words)

The GMK® knee prosthesis is designed for cemented application in total knee arthroplasty, if there is evidence of sufficient sound bone to seat and support the components.

The GMK 3D Metal® Tibial Baseplate is indicated for cementless or cemented application if there is evidence of sufficient sound bone to seat and support the components.

This knee replacement system is indicated in the following cases:

• Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis

• Collagen disorders, and avascular necrosis of the femoral condyle

• Post traumatic loss of joint configuration

• Primary implantation failure

Tibial wedges cemented are to be attached to the tibial baseplate with both the fixing cylinders and bone cement. The screwed tibial augments are for screwed fixation to the tibial baseplate. In case a semi-constrained liner is used, an extension stem must be implanted both on the tibial and on the femoral components. In case a GMK Revision or GMK Sphere Revision tibial tray is used, an extension stem must be implanted.

It is not possible to implant tibial wedges and extension stems with the GMK 3D Metal® Tibial Baseplate.

Limitations for use for GMK SPHERE/GMK SPHERIKA used with kinematic alignment

GMK® Sphere and GMK® SpheriKA can be implanted in kinematic alignment. In this case, this knee replacement system is indicated for:

• Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis

• Collagen disorders, and/or avascular necrosis of the femoral condyle

• Moderate valgus, varus, or flexion deformities

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221850: GMK 3D Metal Tibial Tray.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221850

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026